Trial reportBMC pregnancy and childbirth2016
Continuity of care by a primary midwife (caseload midwifery) increases women's satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial.
Trial report in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04656756 (Determining the Severity of Physical Symptoms Displayed by Mothers Receiving Personalized Care and Their Level of Perceived Readiness for Discharge After Birth), which is not on this map. Cited by 73 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Determining the Severity of Physical Symptoms Displayed by Mothers Receiving Personalized Care and Their Level of Perceived Readiness for Discharge After Birth
Who cites it
73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 252 citations in OpenAlex.
- Midwife continuity of care models versus other models of care for childbearing women.The Cochrane database of systematic reviews · 2024Pooled it
- Child and maternal benefits and risks of caseload midwifery - a systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Ethnic minority women's experiences of accessing antenatal care in high income European countries: a systematic review.BMC health services research · 2023Pooled it
- Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes.Women's health (London, England)Pooled it
- Effect of midwifery students' continuity of care program on women's experiences of maternity care: A randomised controlled trial.PloS one · 2026Trial
- Effects of a Midwife-Coordinated Maternity Care Intervention (ChroPreg) vs. Standard Care in Pregnant Women with Chronic Medical Conditions: Results from a Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Trial
- Assessing stakeholders' acceptability of implementing the midwifery continuity of care model in China: a convergent mixed-method study.BMC pregnancy and childbirth · 2026Article
- Let's talk to women, not about them: pregnant women's perspectives on integrated maternity care in the southwestern region of the Netherlands.BMC pregnancy and childbirth · 2026Article
- Turnover intention and its determinants among midwives working in Wolaita Zone public hospitals, South Ethiopia, 2024.BMC pregnancy and childbirth · 2026Article
- Experiences of Women Who Opt for a Planned Home Birth After a Previous Hospital Birth: A Qualitative Study.Nursing reports (Pavia, Italy) · 2026Article
- Effects of early pelvic floor muscle rehabilitation combined with continuity of care on pelvic floor electromyography and postpartum depression in women with postpartum uterine prolapse.Frontiers in global women's health · 2026Article
- Women's Satisfaction with Midwifery-Led Continuity of Care: Insights from Antenatal, Intrapartum, and Postnatal Experiences in the Sidama Region, Ethiopia. A Non-Randomized Control Trial.Health services insights · 2026Article
- Effect of Maternity Units' Organizational Levels on Maternal Birth Satisfaction: A Multicentric Cohort Study.Birth (Berkeley, Calif.) · 2025Article
- Effect of involvement of midwives in maternal care on patient and provider satisfaction in secondary-level public health facilities in Bangladesh: a comparative quasi-experimental study.Journal of global health · 2025Article
- Primary health care in Austria: qualitative analysis of requirements and challenges in interprofessional collaboration from the perspective of health care and social professionals.Primary health care research & development · 2025Article
- Midwifery Continuity of Care During Pregnancy, Birth, and the Postpartum Period: A Matched Cohort Study.Birth (Berkeley, Calif.) · 2025Article
- The Effect of Tele-Continuous Care on Maternal Functioning and Neonatal Perception among Iranian Primiparous Mothers: A Randomized Field Trial Study.Journal of clinical medicine · 2024Article
- Effect of continuity of team midwifery care on maternal and neonatal outcomes: a quasi-experimental study in Iran.Scientific reports · 2024Article
- Barriers and facilitators when implementing midwifery continuity of carer: a narrative analysis of the international literature.BMC pregnancy and childbirth · 2024Review
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundContinuity of care by a primary midwife during the antenatal, intrapartum and postpartum periods has been recommended in Australia and many hospitals have introduced a caseload midwifery model of care. The aim of this paper is to evaluate the effect of caseload midwifery on women's satisfaction with care across the maternity continuum.
methodsPregnant women at low risk of complications, booking for care at a tertiary hospital in Melbourne, Australia, were recruited to a randomised controlled trial between September 2007 and June 2010. Women were randomised to caseload midwifery or standard care. The caseload model included antenatal, intrapartum and postpartum care from a primary midwife with back-up provided by another known midwife when necessary. Women allocated to standard care received midwife-led care with varying levels of continuity, junior obstetric care, or community-based general practitioner care. Data for this paper were collected by background questionnaire prior to randomisation and a follow-up questionnaire sent at two months postpartum. The primary analysis was by intention to treat. A secondary analysis explored the effect of intrapartum continuity of carer on overall satisfaction rating.
resultsTwo thousand, three hundred fourteen women were randomised: 1,156 to caseload care and 1,158 to standard care. The response rate to the two month survey was 88% in the caseload group and 74% in the standard care group. Compared with standard care, caseload care was associated with higher overall ratings of satisfaction with antenatal care (OR 3.35; 95% CI 2.79, 4.03), intrapartum care (OR 2.14; 95% CI 1.78, 2.57), hospital postpartum care (OR 1.56, 95% CI 1.32, 1.85) and home-based postpartum care (OR 3.19; 95% CI 2.64, 3.85).
conclusionFor women at low risk of medical complications, caseload midwifery increases women's satisfaction with antenatal, intrapartum and postpartum care.
trial registrationAustralian New Zealand Clinical Trials Registry ACTRN012607000073404 (registration complete 23rd January 2007).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.